Inpatient group facilitation is a distinct difference between private and public mental health care. Community Psychiatric Nurses (CPNs) help balance this, and there are excellent NHS CPNs, but due to the immense demand on the service in general, many home visits are by social workers, support workers, and occupational therapists etc.; rather than sending no-one at all.
(It has to be said, as an outpatient, I've had excellent help from NHS psychology also.)
Back in the early 90s I didn't understand the relevance of the groups the Priory offered. Perhaps I was too poorly. They make perfect sense now, both in a healing and preventative capacity.
As an out patient it became apparent that I had an affective disorder. It was labelled psychotic depression: the most severe form of depression. Basically, if you know you're depressed, then that insight actually proves you could be much more poorly indeed. Myself, I sank to psychotic depression over about four or five years. It was in the late 80s / early 90s. I would imagine and very much hope, that with better mental health awareness these days, such an insidious process is much less likely, because of early intervention.
Despite the destruction to many aspects of an affective disorder sufferer's life, their prognosis may be better than one in which schizophrenia is diagnosed. As such, it was stupid that I connected myself to that latter label. I thought a mysterious sounding condition, would save me from having to go back to my dreaded computing.
Giving up on the world after a diagnosis is serious. Life is tough and unfair, and it will take the slightest excuse to step on you. That will always be the case. An old friend of mine in the 1990s pretended to hear voices. Honest and accurate medical histories can hinder you, but with everything else out there, that would love to set you back, serious false issues don't help. My friend told me, that he reported to his psychiatrist, that voices were ordering him to kill both himself and his girlfriend. Given his convincing emotive way of talking about it, no-one, not a soul, could possibly risk ignoring such a statement. I imagine the subsequent medical record may have potentially caused exclusion from some jobs, the adoption or fostering of chidren, acquisition of licenses (certainly a firearms certificate which may be needed in a pest control role might be difficult) and potentially a lot more… His short term receipt of sickness benefits to avoid working, may have been unwise in the long-term.
* * *
At this time I'd reached grade four piano. Practising gave routine and some career features, e.g. goals, motivations, hopes, inspirations, etc. Piano meant more to me than sitting at a computer desk for hours, but I did go back to computers in time!
This is a good place to say that along with love, one of the most vitally important words in the dictionary, that you could cogitate over and apply for the rest of your life, is -